| Vision Care Center Llc | |
|
4233 Gateway Blvd, Newburgh, IN 47630-8900 | |
| (812) 490-3937 | |
| Not Available |
| Full Name | Vision Care Center Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4233 Gateway Blvd, Newburgh, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811145832 | NPI | - | NPPES |
| 7100160580 | Other | MA | KY MEDICIAD OD GROUP |
| 200910700 | Medicaid | IN | |
| 7100139090 | Other | KY | KY MEDICAID MD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 156F00000X | Technician/technologist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Gordon C Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063401107 PECOS PAC ID: 9436124443 Enrollment ID: I20040901000470 |
| Provider Name | Charles M Millsap |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1932103736 PECOS PAC ID: 7618954413 Enrollment ID: I20080826000321 |
| Provider Name | Andrew W Tharp |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538237706 PECOS PAC ID: 2567374960 Enrollment ID: I20080826000484 |
| Provider Name | Eric J Weyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144388265 PECOS PAC ID: 0345315305 Enrollment ID: I20080826000692 |
| Provider Name | Jessica R Mcellhiney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902118987 PECOS PAC ID: 4183757545 Enrollment ID: I20100805000358 |
| Provider Name | Jonathan L Weyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740442409 PECOS PAC ID: 6709042914 Enrollment ID: I20120716000276 |
| Provider Name | Melanie K Happe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508231689 PECOS PAC ID: 6305148420 Enrollment ID: I20160106002699 |
| Provider Name | Morgan C Betz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184159907 PECOS PAC ID: 1557793080 Enrollment ID: I20191121000200 |
| Provider Name | Chad Baker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932199585 PECOS PAC ID: 6103840236 Enrollment ID: I20200601002469 |
| Provider Name | Manisha Miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679035901 PECOS PAC ID: 0749515435 Enrollment ID: I20230530001422 |
| Provider Name | Kaitlin B Nesty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023888088 PECOS PAC ID: 3476905142 Enrollment ID: I20240118000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Care Center Llc Po Box 3873, Evansville, IN 47737-3873 Ph: (800) 467-2392 | Vision Care Center Llc 4233 Gateway Blvd, Newburgh, IN 47630-8900 Ph: (812) 490-3937 |